Sjögren's disease & overlap diseases

Alteration of innate lymphoid cell homeostasis mainly concerns salivary glands in primary Sjögren’s syndrome

RMD OpenPublished Cross-sectional study

Authors' conclusion

Altered ILC homeostasis mainly concerns salivary glands in pSS. Most ILCs in MSGs consist of the ILC3 subset, located at the periphery of lymphocytic infiltrates. The ILC3 subset is more abundant in smaller infiltrates and in recently diagnosed pSS.

Study context

Population
Patients with primary Sjögren's syndrome (pSS), healthy controls and sicca controls
Exposure
pSS vs healthy controls (HCs) and vs sicca controls
Outcome
Frequency of ILC subsets in PB and their quantity and location in MSGs
Methodological detailsflow cytometry, immunofluorescence assay
  • Flow cytometry
  • Immunofluorescence assay

Main finding

As reported in the abstract

  • In peripheral blood (PB), frequency of ILC subsets did not differ between pSS and HCs
  • Circulating ILC1 increased in pSS with positive anti-SSA antibodies
  • Circulating ILC3 reduced in pSS with glandular swelling
  • In minor salivary glands (MSGs), ILC3 number higher in lymphocytic-infiltrated than non-infiltrated tissue in pSS and normal glandular tissue in sicca controls
  • ILC3 preferentially located at periphery of infiltrates; more abundant in small infiltrates of recently diagnosed pSS

Observational data: associations, not effects.

Original publication

Alteration of innate lymphoid cell homeostasis mainly concerns salivary glands in primary Sjögren’s syndrome. RMD Open. Published 25 May 2023. doi:10.1136/rmdopen-2023-003051

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